Background: Tetralogy of Fallot (ToF) is the most common form of cyanotic congenital defect. Adult subjects with results of repair of tetralogy of Fallot may present post-surgical consequences that limit their physical capacity and thus their ability to compete in sports. Conversely, adults with excellent repair of congenital heart disease may have a chance to participate in competitive sports.
Case Report: This case report illustrates the clinical course of a teenager with an outcome of surgical repair for TOF and demonstrates the boy’s excellent physical capacity that ensures his ability to play soccer.
Conclusions: This case report raises the question of the possible revision of the criteria of the Italian COCIS protocol in terms of corrected congenital heart disease.

Keywords: congenital heart disease, cardiorespiratory fitness, Pre-partecipation Screening, Tetralogy of Fallot, teenager